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Home My WebLink AboutEAGLE CREST #1 TR B LT 27 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [] UPGRADE ~ Well Dwelling PERMIT DISTANCE TO: Total eR~tiv~ absorption area Top of tile to finish grade Material beneath tile ~ I m Well Building f~ndation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller D~stance to lot line PERMIT NO. m 8uildlng foundation Sewer line Septic tank Absorption area(si ~ DISTANCE TO: ' OTHER PiPE MATERIALS REMARKS APPHOVED DATE LEGAL 72-013 {Rev. 3/78) ~ OWNER OF LAND DOC Co. dt~a SULLIVAN WATER WELLS P. O. BOX 272. CHUGIAK. ALASKA 90567 · TELEPHONE 688-2'/59 LEGAL DESCRIPTION DATE - Started PERMIT NUMB£R ,c,~ 7 t~..~-~ ~/~/~'/~"/'~/< STATIC LEV EL OF WATER FT. ,~/,,'6 ~ ~~ DRAW DOWN ~. Ended ,~/~D- GA~. PER HR KIND OF CASING KIND OF FORMATION: From cO FI. to C), Ft. From ~ FL to 1~ Ft. Fmm Ft. to Ft. From c[$ FI. to i~C[.Ft' rrom./~)~ re. ID //$"' rt._ From FI. to Ft. From /~'.O FLED I~'K Ft..~.~L~. from/~',6 r,.,o reom I'%f',rl. loIq~' FI r.m / %"ri. lo g~ ~" ri, From ~ ! .C'FI. lo .; ?o FI. From From __ From ~ce 7Ft. to g O.~ Ft. From ~..~Ofl FI. to _20 7FI' Front Ft. to From.__Ft. to Ft.__ From.__Ft. to Ft.__ From Ft. to Ft. From__Ft. to Ft. From~Ft. to Ft. From Ft. to Ft. From Ft. _ p~.'[ C~ FC,~LT'4 ~'. From Ft. to . r~ ...... From Ft. to Ft. From__.Ft. ID F,om .F,.,o From Ft. to FI, MISCL. INFORMATION:. DRILLER'S NAME PERMIT MO. 8PPLICRNT LOCRTION LEGRL :3o Z C Z~.~FtL Z T'~' OF Fir~CI--~I~,F:FtGE DEFRRTMENT ' ~ HERLTH RN[> EN'¢IRONMENTAL' ~OTECTION 825 'L' STREET, ANCHORAGE, BK. ~9501 ~1~. ,.EL-- AND Or- --SZTE PE MZT CHRMBERS CONST, INC. SR ~ BOX 2502 CHUGIRK SECOND STREET L 25 EBGLE CREST S?D ~l LOT SIZE 17820 SQURRE FEET TYPE OF SOIL 8BSORPTION S'~STEM IS: MRXIbILIM NUMBER OF BEDROOMS = ~ TRENCH SOIL RRTING (SQ FT?BR)= THE REOUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEF'TH= :/..2 LEI'-~GTH= 2 --'--'--'~- BRR'.,.'EL DEI~TH= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFFiCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETNEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F-:EQLI I ~:ED SEPT I C T F:t~-.IF-f. S I ZE= ::1..0';"1:~ ¢~ GF:ILLO~-,IS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RMV WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE NELL WILL SERVE. TIWO ( 2 ) I PWSPECT I O~S RRE REQIJ I'RED ~CKFILLIN~ OF ~NY SYSTEM HITHOUT FINAL INSPECTION 8ND ~PF'ROV~L BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR Ft PRIVRTE WELL OR 159 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUH DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEI,IER LINE IS 25 FEET RND TO 8 COMMUNITV SEI.IER LINE IS ~5 FEET. WELL LOGS RRE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~ DR'~S OF THE HELL COMPLETION. OTHER REQUIREMENTS MRY RPPLM. SPECIFIC8TIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLL8TION. PEI;:I-'I I T E×P I RES DEC:EI"IBER ~::1_.. I CERTIFY THRT l: I RM FRMILIRR HITH THE REQUIREMENTS FOR ON-SITE SEWERS RN[) WELLS RS SET FORTH BY THE MUNICIPRLITY OF 8NCHORRGE. 2: I WILL INSTRLL THE S~STEM IN 8CCORDRNCE WITH THE CODES. ~: I UNDERSTRND THBT THE ON-SITE SEWER SVSTEM MRV REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. SIGNED:. RPPLICRNT CHRMBERS CONST, INC. V4. 0 ' 4720 '. ' ' 264- · -- _ .,' * * * HANDWRITTEN PERMIT * ~ * ' ~ Pe, rm~t # ~C~S~% _. WELI~,AND/OR ON-S~TE S. EWER PERMIT ~..egal Description: L ~7 ~e ~' .Lpt Size: ' _MUNI~IFALITY'0F 6NCHORAGE"" .t .' Department.r~.· Healthand Environmenta~'~,rotection'. 825 ~. Street, Anch~rage,-AK. :9501 ' Type oflSoil Absorption System-Is: : Trench:-,.F_,-- Drainfield:' ..$eepage~Bed: ~01ding Tank: .: %'~e ~ec~ired Size of the Soil Absorption System Is: ' DEPTH /.~,LENGTH ~,.c~ GRAVEL. DEPTH ~ WIDTH The length dimension is the length(in feet) of the trench or ~rainfield. The' depth of a trench or pit:is the distance between the surface-.of the ground and the bottom of the excavation(in feet). There is'no-se~ width for trenches. The gravel depth'is the minim%un depth of gravel.between the outfall pipe and the bottom of the excavation(in feet). .i. REQUIRED SEPTIC(HOLDING) TANK SIZE =: ~ GALLONS * * Permit a~plica~t has the responsibility ~o inform this department during the installation inspections of mny ~ells adjacent to this property and the n%unber of residences that the well will. serve. · '* *'TWO(2) INSPECTIONS ARE REQUIRED.* * * Backfilling of any.system without final inspection.and'approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private wellor 150 to 200 feet from a public well depending upon the type of public well. . ~inim~'distance from a private well. to a private sewer line is 25 feet and to a community sewer line is 75.feet. Well logs are required " and must be returned to this department within 30 days of the well completion. Other requirements'may apply. Specifications and construction diagr{uns are available to.insure properinstal~ation. · *'* PERMIT EXPIRES DECEMBER 31, 1 9 8 2 ' * * I certify that: (1) I am fam~iiar with the requirements for on-site sewers and wells as . set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. . (3) I under~tand t~at the on-site sewer system may r~uire enlargement if the residence Ks remodeled to include more that/3.~e~rooms- ~ Applicant Date: SW~/024(1/81) · .' ~ a..~ IIA~RI33~N PERHiT ~t. J- . ,[LLAND/OR ON, SITE.SEWER PERHIT', of soll ~o~tion Oy~tem ~enob, ~ ,, Drainfield, Seepage ~edt ~old~g Tank~ WIDTH length d~engion ts the length(in feet} of th~ trench or dzalnfield. _.The [t.h of a trench or pit ~ the distance between the surface of the ground and bot%~ of the excavation(in feet). There l~ Re ~et width for txen:he~. bottom of the exoavat~on(in feet). _ ~ · - REOUiRED ~EPTiC(HO~ING) TANK SIZE = ~t: uppl~cant ha~ the ~e~pon~lbl3ity to info~ th~ department during the ~]~atlon ~spections of any vell~ adjacent to this property and the numar ~:idences that the well ~Sl1 ~erve. · * ' TWO(2) INSPECTIONS ARE REQUIRED lill~g.of .n~ ~y~om ~thout f~nal Inspection .nd approvnl by %his departmen~ ,um distance bert, eon a uell and uny on-~ite ~ewnge dis~al ~y~tem iu lO0 feet private well or 150 to 200 feet fz~ a publl~ well depending upon the type tblio veil. Hin~ distance from a private ~ell to a private sewer line feet and to a co~unity ~e~;er ]~ne Is 75 feet. Well ]og~ are required I~st be returned to this department within 30 days 9f the cell c~pletlon. xequiromeDto Ilay apply. Specifications and construction glagr~s are .-. ~ble t~'insuro proper installation. ' ' ' ~':'~=' ' ~ * PERMIT EXPIRES DEC~mER ~r~fy ~hat: {,g) 1 ~ fm~llar ~ith the tequire~nts for on-site sewers and set forth by the liunto/poltty of ~chorage, !.(2) I ~t~ ingta/1 the aystem in accordan:~ vith code~. . {.(3) I understand that the on-site sewer the re.dance is ~modoled to include more that/3~e~rOOm~. -'~ /024 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska ~9501 2644720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: 1 2 3- 4 6- 7- 8 SLOPE 10 11 12 13 14- 15- 16~ 17- 18- 19- 20- [] SOILS LOG FI PERCOLATION TEST SITE PLAN ENCOUNTERED? IF YES. AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop / · ,~PERCO LATION RATE minutes/inch) TEST RUN BETWEEN , FTAND FT 72-008 (6/79) '~ --"*J APPLI"~NT FILLS OUT UPPER HAr'-"~, ONLY Buyer ~'~ ~ ~,,,~ ~ Addrese Zip ~e Lending I~sfl~tlon ~/~ ~ ~one R~~ ~one / ~we~ Disposal /~2 Time Time Time Time Dat.~.? / Date Oate Date Inspector Inspector Inspector Inspector ( .~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' Soils Rating Date Sewer Installed Well TO N)sorption Area Well Log Received ~ - ~ Z...- We. to Tank Sep.c T~k S~ze